# TALLAHASSEE MEMORIAL HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physician Partners Oral Maxillofacial Trauma Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649892399
- **Authorized official:** ROBIN L MOSS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (850) 431-6256

## Contact information

- **Practice address:** 1401 CENTERVILLE RD STE G02, TALLAHASSEE, FL 32308-4638
- **Practice address phone:** (850) 431-2100
- **Mailing address:** 1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308-5352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2020
- **Last updated:** 05/15/2020